Student Forms

Registration Fee Waiver Applications may be faxed to 847-856-0311, emailed to jcox@dist50.net, dropped off at the Educational Support Center or at the school buildings. Fee Waiver applications will be available later this summer.

Health

Asthma Action Plan

Asthma Action Plan 2017-2018.pdf 114.96 KB (Last Modified on September 8, 2017)

Comments (-1)
Authorization to Release/Exchange Student Record Information English/Spanish

Exchange_of_Info_Release_EngSpan.pdf 133.48 KB (Last Modified on September 24, 2019)

Comments (-1)
Concussion Information

IESAConcussion.pdf 150.62 KB (Last Modified on November 12, 2019)

Comments (-1)
Concussion Management Protocol

Concussion.pdf 1.54 MB (Last Modified on January 11, 2022)

Comments (-1)
Dental Examination Form- English

Dental Exam form.pdf 74.4 KB (Last Modified on October 30, 2022)

Comments (-1)
Dental Examination Waiver Form-English

Dental Examination Waiver Form_English.pdf 138.84 KB (Last Modified on May 1, 2020)

Comments (-1)
Eye Examination Report- English

Eye Examination Report_English.pdf 178.4 KB (Last Modified on May 1, 2020)

Comments (-1)
Eye Examination Waiver- English

Eye Examination Waiver_English.pdf 114.79 KB (Last Modified on May 1, 2020)

Comments (-1)
Food Allergy and Anaphylaxis Emergency Care Plan- English

Food Allergy and Anaphylaxis Emergency Care Plan_English.pdf 3.06 MB (Last Modified on May 1, 2020)

Comments (-1)
Food Substitution Form

Food Substitute Request_Physician Statement.pdf 151.07 KB (Last Modified on April 29, 2021)

Comments (-1)
Illinois State Health Requirements- English/Spanish

State of Illinois Health Requirements 2023.pdf 310.53 KB (Last Modified on May 19, 2023)

Comments (-1)
Medication Authorization Form English/Spanish

MED AUTH FORM English-Spanish .pdf 70.65 KB (Last Modified on August 8, 2019)

Comments (-1)
Physical or Certificate of Child Health Examination-English

Physical or Certificate of Child Health Examination_English.pdf 744.08 KB (Last Modified on May 1, 2020)

Comments (-1)
Physical or Certificate of Child Health Examination-Spanish

Physical or Certificate of Child Health Examination_Spanish.pdf 370.2 KB (Last Modified on May 1, 2020)

Comments (-1)
Religious Exemption for Immunizations

Religious Exemption for Immunizations_English.pdf 86.01 KB (Last Modified on May 1, 2020)

Comments (-1)

Meals

Application for Free or Reduced Meals - Spanish 22-23

Application Free - Reduced Meals Spanish.pdf 1.07 MB (Last Modified on July 19, 2022)

Comments (-1)
Application for Free or Reduced Meals - English 22-23

Application Free - Reduced Meals English.pdf 959.15 KB (Last Modified on July 19, 2022)

Comments (-1)
Food Service Payment / Restriction Form Spanish

FS Payment - Restriction Form Spanish.pdf 14.29 KB (Last Modified on July 19, 2019)

Comments (-1)
Food Service Payment / Restriction Form English

FS Payment - Restriction Form English.pdf 13.65 KB (Last Modified on July 19, 2019)

Comments (-1)

Permission Forms

Permission to Walk to Warren Twp. Teen Center English / Spanish

2022-23 Permission to Walk-Ride - Spanish and English.pdf 24.79 KB (Last Modified on July 16, 2022)

Comments (-1)

Registration

Registration Fee Waiver Application - Spanish 22-23

FY23 Fee Waiver App Spanish.pdf 146.84 KB (Last Modified on August 10, 2022)

Comments (-1)
Registration Fee Waiver Application - English 22-23

FY23 Fee Waiver App English.pdf 231.92 KB (Last Modified on August 10, 2022)

Comments (-1)
Registration Fee Payment Form Eng-Span 22-23

Fee Pymnt Form English-Spanish FY23.pdf 306.58 KB (Last Modified on July 19, 2022)

Comments (-1)
Guardianship Affidavit - English

GuardianENG.pdf 61.08 KB (Last Modified on April 6, 2021)

Comments (-1)
Guardianship Affidavit - Spanish

Guardiansp.pdf 90.49 KB (Last Modified on April 6, 2021)

Comments (-1)
Lieu of Lease - English

Lieu of Lease eng.pdf 73.54 KB (Last Modified on April 6, 2021)

Comments (-1)
Lieu of Lease - Spanish

Lieu of LeaseSP.pdf 72.44 KB (Last Modified on April 6, 2021)

Comments (-1)
Residency Affidavit (English)

Residency Aff 2023-2024 Eng.pdf 174.48 KB (Last Modified on April 3, 2023)

Comments (-1)
Residency Affidavit (Spanish)

Resident Affidavit SP 2023-2024.pdf 56.88 KB (Last Modified on April 3, 2023)

Comments (-1)
Student Image Opt-Out and Permission Form

Permission Questions FY19.pdf 70.71 KB (Last Modified on February 15, 2019)

Comments (-1)
Student Image Opt-Out and Permission Form (Spanish)

Permission Questions Espanol.pdf 83.66 KB (Last Modified on February 15, 2019)

Comments (-1)
Student Withdrawal Form (English)

STUDENT WITHDRAWL FORM ENG.pdf 14.49 KB (Last Modified on September 21, 2018)

Comments (-1)
Student Withdrawal Form (Spanish)

STUDENT WITHDRAWAL SPA.pdf 13.89 KB (Last Modified on September 21, 2018)

Comments (-1)

Transportation

Revised Bus Form

Click here to access the Revised Bus Form

(Last Modified about a minute ago)

Comments (-1)
Bus Information 22-23

22-23 BUS SHEET.pdf 539.06 KB (Last Modified on July 26, 2022)

Comments (-1)
Informacion Del Autobus 22-23

22-23 BUS SHEET-Spanish.pdf 530.2 KB (Last Modified on July 26, 2022)

Comments (-1)
Special Education Transportation 22-23

22-23 SPED BUS SHEET.pdf 508.55 KB (Last Modified on July 26, 2022)

Comments (-1)
INFORMACIÓN ESPECIAL DE TRANSPORTE 22-23

22-23 SPED SPANISH BUS SHEET.pdf 605.32 KB (Last Modified on July 26, 2022)

Comments (-1)
Kindergarten Drop Off Permission

kdropoffletter.pdf 91.56 KB (Last Modified on September 20, 2017)

Comments (-1)
Kindergarten Drop off Permission - (Español)

kdropoffspanish.pdf 95.38 KB (Last Modified on September 20, 2017)

Comments (-1)

Student Forms

Registration Fee Waiver Applications may be faxed to 847-856-0311, emailed to jcox@dist50.net, dropped off at the Educational Support Center or at the school buildings. Fee Waiver applications will be available later this summer.

Health

Meals

Permission Forms

Registration

Transportation